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You are being given this Fact Sheet because your sample(s) are being tested for the virus that causes
Coronavirus Disease 2019 (COVID-19).
This Fact Sheet contains information to help you understand the risks and benefits of using this test for
the diagnosis of COVID-19. If you have questions or would like to discuss the information provided after
you read this Fact Sheet, please talk to your healthcare provider.
For the most up to date information on COVID-19 please visit the CDC Coronavirus Disease 2019
(COVID-19) webpage:



  • Patients will receive a text message with their COVID19 test results.

  • Patients will not receive a telephone call with their COVID19 test results unless texting is not an option- please inform COVID Test personnel

Patient Consent: I verify that I have received the following information: information specific to
Covid-19 testing, the available testing including risks associated with the procedures of those
collected in the pharmacy, the meaning of positive or negative lab result(s), and the available
treatment(s). I have been provided an opportunity to ask questions and have received answers as
needed. I have been informed that testing is voluntary, that I have the right to decline any tests and
that any positive test results will be reported to the state health department where required by
applicable law.


Know about COVID-19

COVID-19 is caused by the SARS-CoV-2 virus. COVID- 19 can cause mild to severe respiratory illness,
was first identified in Wuhan, China, and has now spread globally, including in the United States. There
is limited information available about the spectrum of illness associated with COVID-19 but it likely
spreads to others when a person shows signs or symptoms of being sick (e.g., cough, shortness of breath
or difficult breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, new
loss of taste or smell, other less common symptoms have been reported, including gastrointestinal
symptoms like nausea, vomiting, or diarrhea.)


What are the known and potential risks and benefits of the test?

Potential risks include:

  • Possible discomfort or other complications that can happen during sample collection. (I.e. bloody nose during specimen collection)

  • It is possible that this test can give a positive result that is wrong (a false positive result).

  • It is possible for this test to give a negative result that is incorrect (false negative).

  • Potential benefits include:

  • The results, along with other information, can help your healthcare provider make informed recommendations about your care.

  • The results of this test may help limit the spread of COVID-19 to your family and others in your community.


What does it mean if I have a positive test result?

If you have a positive test result, it is very likely that you have COVID-19. Therefore, it is also likely that
you may be placed in isolation to avoid spreading the virus to others. There is a very small chance that
this test can give a positive result that is wrong (a false positive result).
Most cases can be cared for at home. Stay home and limit contact with others until:
You have been fever-free for at least 3 days without using medicine that reduces fever AND your
symptoms have improved AND at least 10 days have passed since your symptoms first appeared.

  • Do not go to the hospital to seek care unless you have a medical emergency

  • Do not go to work. Notify your employer of your positive test result

  • Contact your primary care provider and inform them of your positive COVID19 testing result symptoms

  • Continue to monitor your symptoms at home and seek medical attention if worsen as described on the opposite side of this document.


What does it mean if I have a negative test result?

A negative test result means that the virus that causes COVID-19 was not found in your sample. For
COVID-19, a negative test result for a sample collected while a person has symptoms usually means that
COVID-19 did not cause your recent illness.

However, it is possible for this test to give a negative result that is incorrect (false negative) in some
people with COVID-19. This means that you could possibly still have COVID-19 even though the test is
negative. If this is the case, your healthcare provider will consider the test result together with your
symptoms, possible exposures, and geographical location of places you have recently traveled in deciding
how to care for you.

It is important that you work with your healthcare provider to help you understand the next steps you
should take



Is there a possibility that the test results could be “invalid”?

In the instance that your specimen is not able to be processed, a COVID Liaison will contact you via
telephone to discuss next steps and specimen re-processing if necessary.



How should I monitor my symptoms?

  • Note the day any new symptoms begin

  • Check your own temperature two times a day

  • Keep a daily record of fever, cough and additional respiratory symptoms

  • Seek further evaluation from a healthcare provider via telemedicine, or thru a scheduled in person visit if applicable and your symptoms get worse.

  • Call ahead before visiting your healthcare provider and tell them you have been tested for COVID-19.  Even if you don’t experience symptoms you might make others sick


What should I do if symptoms get worse?

Seek medical attention immediately if you develop any of the following emergency warning signs for COVID-19 or other medical emergencies:

  • Difficulty breathing

  • Bluish lips or face

  • Constant pain or pressure in your chest

  • Constant dizziness or lightheadedness

  • Acting confused

  • Difficulty waking up

  • Slurred speech (new or worsening)

  • New seizure or seizures that won’t stop


This list is not all-inclusive. Please consult a healthcare provider for any other symptoms that are severe or concerning.

What should I do to protect myself while I wait for results?

  • Wash your hands often with soap and water for at least 20 seconds. Clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available.

  • Avoid close contact with people who are sick

  • Avoid touching your eyes, nose and mouth with unwashed hands.

  • Clean all “high-touch” surfaces every day. High touch surfaces include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and beside tables.

  • Cover coughs and sneezes

  • If available, wear a face covering


When will I receive my test results?

You will not receive a phone call with results, rather the results will be provided through text messaging within 30 minutes after your test has been performed. If you do not have a text feature, please let your testing coordinator know so that other arrangements can be made. If you have questions about your results, contact your PCP for further guidance.

Your safety is always our priority at Belmont’s Drug Store.

If you have any questions, please contact us at 704-829-9897 or 704-261-6696.

Where can I go for updates and more information? The most up-to-date information on COVID-19 is available at the CDC General webpage: In addition, please also contact your healthcare provider with any questions/concerns.

CDC Information Updated: April 27, 2020

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